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SVP, Medical Management (Medical Director)
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$280,000 - $335,000 a year
Full-time
- The SVP, Medical Management will oversee the areas of Utilization Management, Care Management, and all clinical Medical Directors in the leadership activities of the department.
- In addition to being accountable for all the responsibilities of an HCP Medical Director as outlined below, the Senior Medical Director, SVP Medical Management will also have the responsibility for managing the work of other Physician and non-physician staff within HCP, MSO. The Senior Medical Director, SVP Medical Management manages medical costs and assures appropriate and optimized health care delivery for members.
- They serve as a clinical leader for teams dedicated to one or more of quality, concurrent review, prior authorization, case management, population health, and strategic program development and implementation.
- Support and or oversee all functions and achieve all goals of the Utilization/Care Management department, and support activities involving case and transition management, quality, risk adjustment, provider engagement and population health activities.
- Work collaboratively as a clinical resource to other plan functions that interface with Medical Management such as provider relations, shared services, claims management, Business Intelligence, etc.
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